| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INS SERVICES | — | BLUE SHIELD OF CALIFORNIA | $67K | — | $67K | 5.24% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES | — | KAISER FOUNDATION | $15K | — | $15K | 4.89% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES | — | KAISER FOUNDATION | $9K | — | $9K | 4.84% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES | — | GUARDIAN | $6K | $6K | $12K | 6.65% |
| ALTERITY BROKER SOLUTIONS3 Filed as: ALTERITY BROKER SOLUTIONS, INC. | — | GUARDIAN | $9K | — | $9K | 5.00% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES INC | — | METLIFE | $12K | $63 | $12K | 13.81% |
| ALTERITY BROKER SOLUTIONS3 Filed as: ALTERITY BROKER SOLUTIONS INC | — | METLIFE | $4K | $63 | $4K | 4.65% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES | — | KAISER FOUNDATION NORTHWEST | $3K | — | $3K | 4.00% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INS SERVICES | — | KAISER FOUNDATION COLORADO | $1K | — | $1K | 3.09% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INS SERVICES | — | KAISER FOUNDATION OF WASHINGTON | $856 | — | $856 | 4.05% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES NW INC | — | AMERICAN HERITAGE LIFE | $2K | — | $2K | 16.74% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AMERICAN BENEFITS GROUP EIN 04-3211632 FSA/HRA TPA | Claims processing; Contract Administrator Service code 12 | — | $17K |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 225 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 6 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 235 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 5 carriers) | BLUE SHIELD OF CALIFORNIA | 267 | $1.9M |
| Dental | GUARDIAN | 188 | $185K |
| Vision | GUARDIAN | 188 | $185K |
| Life insurance | METLIFE | 487 | $88K |
| Short-term disability | METLIFE | 487 | $88K |
| Long-term disability | METLIFE | 487 | $88K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 267 | $1.3M |
| Other(2 contracts, 2 carriers) | METLIFE | 487 | $101K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 487 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.